A subdural hygroma (SDG) is a collection of cerebrospinal fluid (CSF), without blood, located under the dural membrane of the brain. Most subdural hygromas are believed to be derived from chronic subdural hematomas. They are commonly seen in elderly people after minor trauma but can also be seen in children following infection or trauma. One of the common causes of subdural hygroma is a sudden decrease in pressure as a result of placing a ventricular shunt. This can lead to leakage of CSF into the subdural space especially in cases with moderate to severe brain atrophy. In these cases the symptoms such as mild fever, headache, drowsiness and confusion can be seen, which are relieved by draining this subdural fluid. Etiology and Pathophysiology Subdural hygromas require two conditions in order to occur. First, there must be a separation in the layers of dura mater of the brain. Second, the resulting subdural space that occurs from the separation of layers must remain uncompressed in order for CSF to accumulate in the subdural space, resulting in the hygroma. The arachnoid mater is torn and cerebrospinal fluid (CSF) from the subarachnoid space accumulates in the subdural space. Hygromas also push the subarachnoid vessels away from the inner table of the skull. Subdural hygroma can appear in the first day, but the mean time of appearance is 9 days on CT scan. Subdural hygroma does not have internal membranes that can easily rupture like subdural haematoma, but hygroma can sometimes occur together with hemorrhage to become hematohygroma. Subdural hygromas most commonly occur when events such as head trauma, infections, or cranial surgeries happen in tandem with brain atrophy, severe dehydration, prolonged spinal drainage, or any other event that causes a decrease in intracranial pressure. This provides the basis for why subdural hygromas more commonly occur in infants and elderly; infants have compressible brains while elderly patients have a greater amount of space for fluid to accumulate due to brain atrophy from age. Signs and symptoms Most subdural hygromas are small and clinically insignificant. A majority of patients with SDG will not experience symptoms. However, some commonly reported but nonspecific symptoms of SDG that have been reported include headache and nausea. Focal neurologic deficits and seizures have also been reported but are nonspecific to SDG. Larger hygromas may cause secondary localized mass effects on the adjacent brain parenchyma, enough to cause a neurologic deficit or